Prophylactic Unilateral Neck Dissection for Differentiated Thyroid Cancer
Thyroid and Parathyroid Diseases: A Case-Based Guide, Springer International Publishing Ag, ss.233-237, 2018
- Yayın Türü: Kitapta Bölüm / Araştırma Kitabı
- Basım Tarihi: 2018
- Doi Numarası: 10.1007/978-3-319-78476-2_36
- Yayınevi: Springer International Publishing Ag
- Sayfa Sayıları: ss.233-237
- Anahtar Kelimeler: Central compartment dissection, Central lymph node metastases, Central neck dissection, Neck ultrasound, Nomogram, Papillary thyroid cancer, Prophylactic, Sentinel lymph node, Total thyroidectomy, Unilateral central dissection
- Sağlık Bilimleri Üniversitesi Adresli: Evet
Özet
The extent of dissection for differentiated thyroid cancer in the neck is a balance between the greater morbidity of more extensive neck dissection and the possibility of leaving residual untreated metastatic lymph nodes. Therapeutic unilateral nodal dissection is performed for cN1b disease. In order to prevent morbidities and to prevent overtreatment, it is suggested that risk factors of ipsilateral and contralateral central lymph node metastases should be considered while planning the extent of central lymph node dissection in patients with cN0 and unilateral papillary thyroid cancer upon preoperative neck ultrasound.